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Author:

Hou, Qianwen (Hou, Qianwen.) | Liu, Guimei (Liu, Guimei.) | Liu, Ning (Liu, Ning.) | Zhang, Honghui (Zhang, Honghui.) | Qu, Zhuoran (Qu, Zhuoran.) | Zhang, Hanbing (Zhang, Hanbing.) | Li, Hui (Li, Hui.) | Pan, Youlian (Pan, Youlian.) | Qiao, Aike (Qiao, Aike.) (Scholars:乔爱科)

Indexed by:

Scopus SCIE

Abstract:

Patients with aortic valve disease can suffer from valve insufficiency after valve repair surgery due to aortic root dilatation. The paper investigates the effect of valve height (Hv) on the aortic valve opening and closing in order to select the appropriate range of Hv for smoother blood flow through the aortic valve and valve closure completely in the case of continuous aortic root dilatation. A total of 20 parameterized three-dimensional models of the aortic root were constructed following clinical surgical guidance. Aortic annulus diameter (DAA) was separately set to 26, 27, 28, 29, and 30 mm to simulate aortic root dilatation. H-V value was separately set to 13.5, 14, 14.5, and 15 mm to simulate aortic valve alterations in surgery. Time-varying pressure loads were applied to the valve, vessel wall of the ascending aorta, and left ventricle. Then, finite element analysis software was employed to simulate the movement and mechanics of the aortic root. The feasible design range of the valve size was evaluated using maximum stress, geometric orifice area (GOA), and leaflet contact force. The results show that the valve was incompletely closed when H-V was 13.5 mm and D-AA was 29 or 30 mm. The GOA of the valve was small when H-V was 15 mm and D-AA was 26 or 27 mm. The corresponding values of the other models were within the normal range. Compared with the model with an H-V of 14 mm, the model with an H-V of 14.5 mm could effectively reduce maximum stress and had relatively larger GOA and less change in contact force. As a result, valve height affects the performance of aortic valve opening and closing. Smaller H-V is adapted to smaller D-AA and vice versa. When H-V is 14.5 mm, the valve is well adapted to the dilatation of the aortic root to enhance repair durability. Therefore, more attention should be paid to H-V in surgical planning.

Keyword:

numerical simulation aortic root dilatation aortic valve repair aortic valve biomechanics

Author Community:

  • [ 1 ] [Hou, Qianwen]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 2 ] [Liu, Guimei]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 3 ] [Liu, Ning]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 4 ] [Zhang, Honghui]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 5 ] [Qu, Zhuoran]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 6 ] [Zhang, Hanbing]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 7 ] [Li, Hui]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 8 ] [Pan, Youlian]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 9 ] [Qiao, Aike]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China
  • [ 10 ] [Hou, Qianwen]Beijing Int Base Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing, Peoples R China
  • [ 11 ] [Liu, Guimei]Beijing Int Base Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing, Peoples R China
  • [ 12 ] [Liu, Ning]Beijing Int Base Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing, Peoples R China
  • [ 13 ] [Zhang, Honghui]Beijing Int Base Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing, Peoples R China
  • [ 14 ] [Qu, Zhuoran]Beijing Int Base Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing, Peoples R China
  • [ 15 ] [Zhang, Hanbing]Beijing Int Base Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing, Peoples R China
  • [ 16 ] [Li, Hui]Beijing Int Base Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing, Peoples R China
  • [ 17 ] [Pan, Youlian]Beijing Int Base Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing, Peoples R China
  • [ 18 ] [Qiao, Aike]Beijing Int Base Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing, Peoples R China

Reprint Author's Address:

  • 乔爱科

    [Qiao, Aike]Beijing Univ Technol, Fac Environm & Life, Beijing, Peoples R China;;[Qiao, Aike]Beijing Int Base Sci & Technol Cooperat, Intelligent Physiol Measurement & Clin Translat, Beijing, Peoples R China

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Source :

FRONTIERS IN PHYSIOLOGY

ISSN: 1664-042X

Year: 2021

Volume: 12

4 . 0 0 0

JCR@2022

ESI Discipline: BIOLOGY & BIOCHEMISTRY;

ESI HC Threshold:84

JCR Journal Grade:1

Cited Count:

WoS CC Cited Count: 3

SCOPUS Cited Count: 7

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 12

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